| Robert G. Martin | |
|
8150 A Court Ave. Hamlin WV 25523-1434 | |
| (304) 824-7776 | |
| (304) 824-7776 |
| Full Name | Robert G. Martin |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8150 A Court Ave., Hamlin, West Virginia |
| Authorized Official Name and Position | Robert G. Martin (OWNER) |
| Authorized Official Contact | 3048247776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert G. Martin 8150 A Court Ave. Hamlin WV 25523-1434 Ph: (304) 824-7776 | Robert G. Martin 8150 A Court Ave. Hamlin WV 25523-1434 Ph: (304) 824-7776 |
| NPI Number | 1659431377 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659431377 | NPI | - | NPPES |
| 001720515 | Other | WV | BLUE CROSS BLUE SHIELD |
| 3810002105 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 366 (West Virginia) | Primary |